{"id":203,"date":"2020-06-02T16:42:11","date_gmt":"2020-06-02T14:42:11","guid":{"rendered":"https:\/\/lifelonghearing.com\/?p=203"},"modified":"2025-05-09T10:10:31","modified_gmt":"2025-05-09T10:10:31","slug":"sokoldalu-hallas","status":"publish","type":"post","link":"https:\/\/lifelonghearing.com\/hu\/sokoldalu-hallas\/","title":{"rendered":"Sokoldal\u00fa hall\u00e1s"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:10px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:10px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-one\" style=\"--awb-margin-top:0px;\"><h1 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:45;line-height:1.4;\">CI \u00e9s hall\u00f3k\u00e9sz\u00fcl\u00e9k \u2013 interakci\u00f3<\/h1><\/div><div class=\"fusion-text fusion-text-1\"><p><strong>A cochle\u00e1ris implant\u00e1tummal (CI) \u00e9l\u0151 p\u00e1ciensek k\u00f6zel fele a m\u00e1sik f\u00fcl\u00e9n hall\u00f3k\u00e9sz\u00fcl\u00e9ket haszn\u00e1l. Ahhoz, hogy ez a k\u00e9t k\u00fcl\u00f6nb\u00f6z\u0151 hall\u00f3rendszer megfelel\u0151en tudjon egy\u00fcttm\u0171k\u00f6dni, a CI-nak le kell m\u00e1solnia a term\u00e9szetes hall\u00e1st.<\/strong><\/p>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><\/div><div class=\"fusion-image-element \" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"1200\" height=\"481\" title=\"thumb-hearing-diversity-1200&#215;481\" src=\"https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-hearing-diversity-1200x481-1.jpg\" data-orig-src=\"https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-hearing-diversity-1200x481-1.jpg\" alt class=\"lazyload img-responsive wp-image-32099\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271200%27%20height%3D%27481%27%20viewBox%3D%270%200%201200%20481%27%3E%3Crect%20width%3D%271200%27%20height%3D%27481%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-hearing-diversity-1200x481-1-200x80.jpg 200w, https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-hearing-diversity-1200x481-1-400x160.jpg 400w, https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-hearing-diversity-1200x481-1-600x241.jpg 600w, https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-hearing-diversity-1200x481-1-800x321.jpg 800w, https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-hearing-diversity-1200x481-1.jpg 1200w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 1200px\" \/><\/span><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\"><p>Lisa\u00a0Davidson amerikai tud\u00f3s, az Amerikai Audiol\u00f3giai Sz\u00f6vets\u00e9g 2010-es Konferenci\u00e1j\u00e1n arr\u00f3l sz\u00e1molt be, hogy a klinik\u00e1j\u00e1n kezelt gyerekek t\u00f6bb, mint 50%-a bimod\u00e1lis hall\u00e1s\u00fa, vagyis az egyik f\u00fcl\u00e9n hall\u00f3k\u00e9sz\u00fcl\u00e9ket, m\u00edg a m\u00e1sikon CI-t haszn\u00e1l. Egy 2016-os, hannoveri kutat\u00e1si adat minden koroszt\u00e1ly eset\u00e9ben igazolta a bimod\u00e1lis cochle\u00e1ris implant\u00e1tumot haszn\u00e1l\u00f3k magas ar\u00e1ny\u00e1t. 2010 \u00e9s 2015 k\u00f6z\u00f6tt a bimod\u00e1lis hall\u00f3k sz\u00e1ma k\u00f6zel 40%-kal n\u0151tt.<\/p>\n<p>Egy n\u00e9met tanulm\u00e1ny a bimod\u00e1lis hall\u00e1s el\u0151nyeit tudom\u00e1nyosan is al\u00e1t\u00e1masztotta<a href=\"#_ftn1\" name=\"_ftnref1\">[1]<\/a>: A bimod\u00e1lis hall\u00e1s csendes k\u00f6rnyezetben jelentkez\u0151 el\u0151nyei a hall\u00e1s k\u00fcsz\u00f6b\u00e9rt\u00e9keit\u0151l f\u00fcgg. Ha a m\u00e1sik f\u00fcl hall\u00e1si hat\u00e1r\u00e9rt\u00e9kei k\u00f6zel esnek a CI jeleihez, cs\u00f6kkenek a bimod\u00e1lis hall\u00e1s el\u0151nyei. Azok sz\u00e1m\u00e1ra, akiknek hall\u00e1suk jobb az akusztikus oldalon, a bimod\u00e1lis kialak\u00edt\u00e1s nagyobb el\u0151nnyel j\u00e1r.<\/p>\n<p>A biomodalit\u00e1s felt\u00e9tele, hogy a hall\u00f3k\u00e9sz\u00fcl\u00e9k \u00e9s a cochle\u00e1ris implant\u00e1tum egym\u00e1ssal kompatibilis legyen. \u201eSokan azt gondolj\u00e1k, hogy az eg\u00e9sz csak a streamel\u00e9sen m\u00falik\u201d \u2013 s\u00f3hajt Jennifer Robinson, a MED-EL tapasztalt audiol\u00f3gusa \u00e9s projektvezet\u0151je, aki behat\u00f3an tanulm\u00e1nyozta a bimod\u00e1lis hall\u00e1sban rejl\u0151 lehet\u0151s\u00e9geket \u00e9s kih\u00edv\u00e1sokat. Elmagyar\u00e1zza, hogy k\u00e9t l\u00e9nyeges szempont van: Az be\u00fcltetett implant\u00e1tum rendszernek a lehet\u0151 legterm\u00e9szetesebb hall\u00e1st kell imit\u00e1lnia, valamint a CI audioprocesszor\u00e1ban haszn\u00e1lt jelfeldolgoz\u00e1snak illeszkednie kell a hall\u00f3k\u00e9sz\u00fcl\u00e9k\u00e9hez.<\/p>\n<div id=\"attachment_212\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><img decoding=\"async\" aria-describedby=\"caption-attachment-212\" class=\"lazyload wp-image-212 size-large\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271024%27%20height%3D%27439%27%20viewBox%3D%270%200%201024%20439%27%3E%3Crect%20width%3D%271024%27%20height%3D%27439%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"\/wp-content\/uploads\/sites\/4\/2020\/06\/Binaural_vs._Monaural-Hearing-1024x439-1.jpg\" alt=\"CI and hearing aid: binaural hearing illustration\" width=\"1024\" height=\"439\" \/><p id=\"caption-attachment-212\" class=\"wp-caption-text\">A binaur\u00e1lis hall\u00e1s egy term\u00e9szetesebb \u00e9s gazdagabb hall\u00e1s\u00e9lm\u00e9nyt ad az egyoldali sikets\u00e9ggel \u00e9l\u0151 CI haszn\u00e1l\u00f3k sz\u00e1m\u00e1ra, a k\u00e9toldali CI haszn\u00e1l\u00f3k \u00e9s a bimod\u00e1lis hall\u00e1ssal \u00e9l\u0151k hall\u00f3k\u00e9sz\u00fcl\u00e9ket \u00e9s cochle\u00e1ris implant\u00e1tumot haszn\u00e1lnak.<\/p><\/div>\n<h2>A term\u00e9szetes hangk\u00f3dol\u00e1s ill\u00fazi\u00f3ja<\/h2>\n<p>A hall\u00f3k\u00e9sz\u00fcl\u00e9kek feler\u0151s\u00edtik a hangot, melyet ennek k\u00f6vetkezt\u00e9ben k\u00f6nnyebben \u00e9rz\u00e9kel a bels\u0151 f\u00fcl. Ezzel szemben, a cochle\u00e1ris implant\u00e1tum a bels\u0151 f\u00fcl m\u0171k\u00f6d\u00e9s\u00e9t ut\u00e1nozva, k\u00f6zvetlen\u00fcl a hall\u00f3ideget ingerli. Min\u00e9l k\u00f6zelebb \u00e9s term\u00e9szetesebb m\u00f3don val\u00f3sul meg az ut\u00e1nz\u00e1s, ann\u00e1l jobb hall\u00e1smin\u0151s\u00e9g val\u00f3sulhat meg a m\u00e1sik oldal (az \u00fan. kontralater\u00e1lis vagyis ellenkez\u0151 oldal) akusztikus hall\u00e1s\u00e1val egy\u00fcttesen. \u00cdgy az implant\u00e1tum frekvenci\u00e1j\u00e1nak \u00e9s id\u0151beli k\u00f3dol\u00e1s\u00e1nak egyar\u00e1nt a term\u00e9szetes hall\u00e1sra kell eml\u00e9keztetnie.<a href=\"#_ftn2\" name=\"_ftnref2\">[2]<\/a><\/p>\n<p>Ehhez egy olyan hossz\u00fa elektr\u00f3da sz\u00fcks\u00e9ges, ami teljesen a bels\u0151 f\u00fclre helyezhet\u0151 \u00fagy, hogy teljesen hossz\u00e1ban lefedi azt \u00e9s a magas, illetve m\u00e9ly hangokn\u00e1l a megfelel\u0151 helyen ingerli.<a href=\"#_ftn3\" name=\"_ftnref3\">[3]<\/a> Jelenleg vil\u00e1gviszonylatban egyetlen gy\u00e1rt\u00f3 k\u00edn\u00e1lja ezt a megold\u00e1st: a\u00a0 <a href=\"https:\/\/www.medel.com\/\" target=\"_blank\" rel=\"noopener\">MED-EL<\/a>.<\/p>\n<h2>Az id\u0151beli el\u00e9r\u00e9sek jelent\u0151s\u00e9ge<\/h2>\n<p>A m\u00e9ly hangok term\u00e9szetes \u00e9szlel\u00e9s\u00e9hez fontos a hang id\u0151beli k\u00f3dol\u00e1sa,<a href=\"#_ftn4\" name=\"_ftnref4\">[4]<\/a> hiszen ez a bej\u00f6v\u0151 audiojel r\u00e9szletes id\u0151beli elemz\u00e9s\u00e9t adja. A sejtek az idegi impulzusokat az akusztikai rezg\u00e9s egy pontosan meghat\u00e1rozott pillanat\u00e1ban tov\u00e1bb\u00edtj\u00e1k. Ezt a pontos, id\u0151beli struktur\u00e1lis inform\u00e1ci\u00f3t jelenleg a piac egyetlen CI-rendszere k\u00e9pes k\u00f6zvet\u00edteni: a MED-EL SYNCHRONY. A <em>Triformance <\/em>technol\u00f3gia r\u00e9sz\u00e9t k\u00e9pez\u0151 r\u00e9szletes struktur\u00e1lis k\u00f3dol\u00e1s az atramatikus elektr\u00f3d\u00e1val egy\u00fctt a term\u00e9szetes hall\u00e1s id\u0151k\u00f3dl\u00e1s\u00e1t m\u00e1solja le. A mindk\u00e9t rendszerre jellemz\u0151 gyors feldolgoz\u00e1ssal elker\u00fclhet\u0151 a k\u00e9s\u00e9s \u00e9s szimult\u00e1n hall\u00e1st biztos\u00edt a k\u00e9t f\u00fclben.<\/p>\n<p>A hall\u00e1s m\u00e1sik fontos id\u0151beli szempontja a bels\u0151 f\u00fcl mikromechanizmusain alapszik. A hanghull\u00e1mok mozg\u00e1sa, amely a hangot a bels\u0151 f\u00fcl legalj\u00e1t\u00f3l eg\u00e9szen a cs\u00facs\u00e1ig vezeti, azt eredm\u00e9nyezi, hogy a magas frekvenci\u00e1j\u00fa hangok ugyan csak milliszekundumokkal, de el\u0151bb \u00e9rnek a cs\u00facsba, mint az alacsony frekvenci\u00e1j\u00fa hangok. \u201eMi vagyunk az egyetlen cochle\u00e1ris implant\u00e1tumot gy\u00e1rt\u00f3 c\u00e9g, amely figyelembe veszi ezt a k\u00e9s\u00e9st\u201d \u2013 magyar\u00e1zza b\u00fcszk\u00e9n Robinson,<a href=\"#_ftn5\" name=\"_ftnref5\">[5]<\/a>az \u00e1ll\u00edt\u00e1s\u00e1t al\u00e1t\u00e1maszt\u00f3 n\u00e9met \u00f6sszehasonl\u00edt\u00f3 tanulm\u00e1nyra utalva. \u201eStimul\u00e1ci\u00f3nk majdnem olyan, mint a term\u00e9szetes hall\u00e1s.\u201d<\/p>\n<h2>Megfelel\u0151 hanger\u0151<\/h2>\n<p>Az audioprocesszorokban haszn\u00e1lt jelfeldolgoz\u00e1snak fontos szerepe van a binaur\u00e1lis m\u00f3don hall\u00f3k sz\u00e1m\u00e1ra. Csak azok a funkci\u00f3k haszn\u00e1lhat\u00f3k, amik a hall\u00f3k\u00e9sz\u00fcl\u00e9kben \u00e9s az audioprocesszorban egyar\u00e1nt megtal\u00e1lhat\u00f3k. Az audiol\u00f3gusoknak \u00e9s a cochle\u00e1ris implant\u00e1tumot k\u00e9sz\u00edt\u0151 m\u00e9rn\u00f6k\u00f6knek mindezt figyelembe kell venni\u00fck a be\u00fcltet\u00e9s sor\u00e1n.<\/p>\n<p>Mindk\u00e9t eszk\u00f6z egyik legfontosabb funkci\u00f3ja az \u00fagynevezett dinamikus t\u00f6m\u00f6r\u00edt\u00e9s. A teljesen j\u00f3l funkcion\u00e1l\u00f3 bels\u0151 f\u00fcl h\u00e1romszor olyan \u00e9rz\u00e9kenyen reag\u00e1l a halk hangokra, mint az er\u0151s hangokra. A csiga (cochlea) halk hangokhoz haszn\u00e1latos er\u0151s\u00edt\u0151 funkci\u00f3ja hall\u00e1sk\u00e1rosultakn\u00e1l jelent\u0151sen romlik. A hall\u00f3k\u00e9sz\u00fcl\u00e9k gy\u00e1rt\u00f3k k\u00e9sz\u00fcl\u00e9keikben pont ezeket a term\u00e9szetes funkci\u00f3kat igyekeznek p\u00f3tolni.<\/p>\n<p>Eddig a MED-EL az egyetlen gy\u00e1rt\u00f3, ahol siker\u00fclt audioprocesszorral ezt a term\u00e9szetes 3:1 ar\u00e1ny\u00fa \u2013 vagy esetenk\u00e9nt 2:1-t\u0151l eg\u00e9szen 3,5:1 ar\u00e1ny\u00fa \u2013 er\u0151s\u00edt\u00e9st helyettes\u00edteni, ugyanakkor a term\u00e9szetes hall\u00e1s helyi p\u00e1ros\u00edt\u00e1sait is megtartani. A MED-EL audioprocesszorai a t\u00f6k\u00e9letesen m\u0171k\u00f6d\u0151 bels\u0151 f\u00fcl dinamikus tartom\u00e1ny\u00e1val majdnem megegyez\u0151 tartom\u00e1nyt haszn\u00e1lnak<a href=\"#_ftn6\" name=\"_ftnref6\">[6]<\/a> amely hasonl\u00f3 a modern hall\u00f3k\u00e9sz\u00fcl\u00e9kek\u00e9hez. Ez\u00e9rt van az, hogy a MED-EL CI-rendszerei t\u00f6k\u00e9letesen kieg\u00e9sz\u00edtik az ellent\u00e9tes oldali f\u00fcl hagyom\u00e1nyos hall\u00f3k\u00e9sz\u00fcl\u00e9keit \u2013 an\u00e9lk\u00fcl, hogy a k\u00e9t eszk\u00f6zt b\u00e1rmely m\u00f3don p\u00e1ros\u00edtani kellene,<\/p>\n<p>egyed\u00fcl az eszk\u00f6z\u00f6k hangerej\u00e9t kell egym\u00e1shoz be\u00e1ll\u00edtani. A tanulm\u00e1nyok arra az eredm\u00e9nyre jutottak, hogy a hall\u00f3k\u00e9sz\u00fcl\u00e9knek \u00e9s a CI-nek azonos hanger\u0151n kell m\u0171k\u00f6dnie, illetve a CI-rendszer lehet egy kiss\u00e9 hangosabb.<a href=\"#_ftn7\" name=\"_ftnref7\">[7]<\/a><\/p>\n<h2>Hall\u00e1st seg\u00edt\u0151 eszk\u00f6z\u00f6k<\/h2>\n<p>A kieg\u00e9sz\u00edt\u0151k\u00e9nt haszn\u00e1lt hall\u00e1st seg\u00edt\u0151 eszk\u00f6z\u00f6knek az audioprocesszorhoz \u00e9s a hall\u00f3k\u00e9sz\u00fcl\u00e9khez egyar\u00e1nt illeszkedni\u00fck kell. Az indukci\u00f3s hurok hall\u00f3k\u00e9sz\u00fcl\u00e9kekkel \u00e9s az indukci\u00f3s portokkal ell\u00e1tott audioprocesszorokkal is haszn\u00e1lhat\u00f3. A felhaszn\u00e1l\u00f3nak a hall\u00f3k\u00e9sz\u00fcl\u00e9kt\u0151l \u00e9s az implant\u00e1tum gy\u00e1rt\u00f3j\u00e1t\u00f3l f\u00fcggetlens\u00e9get biztos\u00edtanak.<\/p>\n<p>A bimod\u00e1lis m\u00f3don hall\u00f3k sz\u00e1mos sz\u00e1m\u00e1ra, Bluetoothon kereszt\u00fcl streamelhet\u0151, univerz\u00e1lisan haszn\u00e1lhat\u00f3 hall\u00e1s seg\u00edt\u0151 eszk\u00f6z \u00e9s kommunik\u00e1ci\u00f3s rendszer \u00e1ll rendelkez\u00e9sre. Ilyent k\u00edn\u00e1l p\u00e9ld\u00e1ul az Oticon \u00e9s a Phonak is. A Phonak Roger rendszer\u00e9vel az indukci\u00f3s \u00e9s a direkt bevitelt is megoldhat\u00f3, audioprocesszorokn\u00e1l \u00e9s hall\u00f3k\u00e9sz\u00fcl\u00e9kekn\u00e9l egyar\u00e1nt.<\/p>\n<h2>A Hamupip\u0151ke tanuls\u00e1ga<\/h2>\n<p>Egy fontos dolgot megtanultunk a Hamupip\u0151k\u00e9b\u0151l: ha \u00faj cip\u0151t szeretn\u00e9l, ne v\u00e1gd le a l\u00e1bujjad, hiszen a cip\u0151 m\u00e9g \u00edgy is t\u00fal kicsi lesz. A bimod\u00e1lis hall\u00e1s ennyit jelent: ha a hall\u00f3k\u00e9sz\u00fcl\u00e9ket \u00fagy v\u00e1lasztjuk, hogy az az ellent\u00e9tes f\u00fcl\u00f6n haszn\u00e1lt audioprocesszorhoz illeszkedjen, val\u00f3sz\u00edn\u0171, hogy az a hall\u00f3k\u00e9sz\u00fcl\u00e9kkel hall\u00f3 f\u00fcl\u00f6n hall\u00e1sveszt\u00e9st okoz.<\/p>\n<p>T\u00edpus, funkci\u00f3, illeszked\u00e9s \u2013 szinte v\u00e9gtelen azon hall\u00f3k\u00e9sz\u00fcl\u00e9kek k\u00edn\u00e1lata, amelyek az egyedi hall\u00e1sprobl\u00e9m\u00e1khoz ide\u00e1lisak \u00e9s t\u00f6k\u00e9letes megold\u00e1st biztos\u00edtanak. A CI-re v\u00e1r\u00f3 p\u00e1ciensek gyakran m\u00e1r t\u00f6bb \u00e9ve hordanak hall\u00f3k\u00e9sz\u00fcl\u00e9ket \u00e9s el\u00e9gedettek az egyedi ig\u00e9nyeiket is kiel\u00e9g\u00edt\u0151 eszk\u00f6z\u00fckkel. A v\u00e1ltoztat\u00e1s hossz\u00fa ideig tart\u00f3 be\u00e1ll\u00edt\u00e1sokkal \u00e9s jelent\u0151s k\u00f6lts\u00e9gekkel j\u00e1rhat. \u00c9ppen ez\u00e9rt alapvet\u0151 fontoss\u00e1g\u00fa, hogy egy optim\u00e1lisan be\u00e1ll\u00edtott \u00e9s illesztett hall\u00f3k\u00e9sz\u00fcl\u00e9ket haszn\u00e1ljuk a term\u00e9szetes hangk\u00f3dol\u00e1s alapelveit alkalmaz\u00f3 CI-rendszerrel. A MED-EL ezt a filoz\u00f3fi\u00e1t vallja.<\/p>\n<p>Egy optim\u00e1lisan illesztett CI-rendszert b\u00e1rmilyen m\u00e1rk\u00e1j\u00fa hall\u00f3k\u00e9sz\u00fcl\u00e9kkel kombin\u00e1lhatunk, mindenk\u00e9ppen hossz\u00fat\u00e1v\u00fa sikereket \u00e9r\u00fcnk el a hall\u00e1s ter\u00e9n. Ez\u00e9rt van az, hogy a CI a hall\u00e1s siker\u00e9nek alapja akkor is, ha az ellent\u00e9tes oldali f\u00fcl hall\u00e1sa romlik \u00e9s egy m\u00e1sodik cochle\u00e1ris implant\u00e1tumra lesz sz\u00fcks\u00e9g.<a href=\"#_ftn8\" name=\"_ftnref8\">[8]<\/a> \u201eHa mindk\u00e9t f\u00fcl\u00f6n CI j\u00f6n sz\u00f3ba, a bilater\u00e1lis cochle\u00e1ris implant\u00e1tum a legjobb megold\u00e1s.\u201d \u2013 teszi hozz\u00e1 Jennifer Robinson.<\/p>\n<hr \/>\n<p><em><a href=\"#_ftnref1\" name=\"_ftn1\">[1]<\/a> Hoppe U., Hocke T., Digeser F. (2018) Bimodal benefit of cochlear implant listeners with different grades of hearing loss in the opposite ear, Acta Oto-Laryngologica, 138:8, 713-721, DOI: 10.1080\/00016489.2018.1444281<\/em><\/p>\n<p><em><a href=\"#_ftnref2\" name=\"_ftn2\">[2]<\/a> Wess JM, Brungart DS, Bernstein JGW (2017 May\/Jun) The Effect of Interaural Mismatches on Contralateral Unmasking With Single-Sided Vocoders, Ear &amp; Hearing, 38(3)374-486. Doi: 10.1097\/AUD.0000000000000374<\/em><\/p>\n<p><em><a href=\"#_ftnref3\" name=\"_ftn3\">[3]<\/a> Buchman C.A., Dillon M.T., King E.R., Adunka M.C., Adunka O.F. (2014) Pillsbury H.C., Influence of Cochlear Implant Insertion Depth on Performance: A Prospective Randomized Trial, Otology&amp;Neurotology 35:1773-1779<\/em><\/p>\n<p><em><a href=\"#_ftnref4\" name=\"_ftn4\">[4]<\/a> Rader, T., D\u00f6ge, J., Adel, Y., Weissgerber, T., &amp; Baumann, U. (2016). Place dependent stimulation rates improve pitch perception in cochlear implantees with single-sided deafness. Hear Res., 339, 94\u2013103.<\/em><\/p>\n<p><em><a href=\"#_ftnref5\" name=\"_ftn5\">[5]<\/a> Zirn S., Angermeier J., Arndt S., Aschendorff A, Wesarg T., 2019, Reducing the Device Delay Mismatch Can Improve Sound Localization in Bimomdal Cochlear Implant\/Hearing-Aid Users, Trends in Hearing Volume 23: 1-13, DOI: 10.1177\/2331216519843876, journals.sagepub.com\/home\/tia<\/em><\/p>\n<p><em><a href=\"#_ftnref6\" name=\"_ftn6\">[6]<\/a> Plack CJ, Oxenham AJ (2000) Basilar-membrane nonlinearity estimated by pulsation threshold, J. Acousti. Soc. Am. 1063-7834\/2000\/107(1)<\/em><br \/>\n<em>Vaerenberg B. et al, 2014, A Uniform Graphical Representation of Intensity Coding In Current-Generation Cochlear Implant Systems, Ear Hear 2014 Sep-Oct;35(5):533-43. Doi: 10.1097\/AUD.0000000000000039.<\/em><\/p>\n<p><em><a href=\"#_ftnref7\" name=\"_ftn7\">[7]<\/a> Dorman M.F., Loizou P., Wang S., Zhang T., Spahr T., Loiselle L., Cook S., Bimodal cochlear implants: The role of acoustic signal level in determining speech perception benefit, Audiol Neurootol. 2014; 19(4): 234-238, doi: 10.1159\/000360070<\/em><\/p>\n<p><em><a href=\"#_ftnref8\" name=\"_ftn8\">[8]<\/a> Gifford R.H., Driscoll C.L.W., Davis T.J., Fiebig P., Micco A., Dorman M.F., A within-subjects comparison of bimodal hearing, bilateral cochlear implantation, and bilateral cochlear implantation with bilateral hearing preservation: High-performing patients, Otol Neurotol. 2015 Sep; 36(8): 1331-1337. Doi: 10.1097\/MAO.0000000000000804;<\/em><\/p>\n<p><em>Gifford, R. and Dorman, M. (2018) Bimodal Hearing or Bilateral cochlear Implants? Ask the Patient\u201d Ear Hear 2019 May\/Jun;40(3):501-516. Doi: 10.1097\/AUD.0000000000000657<\/em><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A cochle\u00e1ris implant\u00e1tummal(CI) \u00e9l\u0151 p\u00e1ciensek k\u00f6zel fele a m\u00e1sik f\u00fcl\u00e9n hall\u00f3k\u00e9sz\u00fcl\u00e9ket haszn\u00e1l. Azt, hogy ez a k\u00e9t k\u00fcl\u00f6nb\u00f6z\u0151 hall\u00f3rendszere megfelel\u0151en tudjon egy\u00fcttm\u0171k\u00f6dni, a CI-nak le kell m\u00e1solnia a term\u00e9szetes hall\u00e1st.<\/p>\n","protected":false},"author":5,"featured_media":32099,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[418],"tags":[419,417,421],"class_list":["post-203","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tudomany","tag-bilateral","tag-ci","tag-ci-and-hearing-aid"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Sokoldal\u00fa hall\u00e1s - Hungary<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lifelonghearing.com\/hu\/sokoldalu-hallas\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sokoldal\u00fa hall\u00e1s - Hungary\" \/>\n<meta property=\"og:description\" content=\"A cochle\u00e1ris implant\u00e1tummal(CI) \u00e9l\u0151 p\u00e1ciensek k\u00f6zel fele a m\u00e1sik f\u00fcl\u00e9n hall\u00f3k\u00e9sz\u00fcl\u00e9ket haszn\u00e1l. Azt, hogy ez a k\u00e9t k\u00fcl\u00f6nb\u00f6z\u0151 hall\u00f3rendszere megfelel\u0151en tudjon egy\u00fcttm\u0171k\u00f6dni, a CI-nak le kell m\u00e1solnia a term\u00e9szetes hall\u00e1st.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/lifelonghearing.com\/hu\/sokoldalu-hallas\/\" \/>\n<meta property=\"og:site_name\" content=\"Hungary\" \/>\n<meta property=\"article:published_time\" content=\"2020-06-02T14:42:11+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-05-09T10:10:31+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-hearing-diversity-1200x481-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"481\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Philipp_Hicker\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Philipp_Hicker\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/lifelonghearing.com\/hu\/sokoldalu-hallas\/\",\"url\":\"https:\/\/lifelonghearing.com\/hu\/sokoldalu-hallas\/\",\"name\":\"Sokoldal\u00fa hall\u00e1s - Hungary\",\"isPartOf\":{\"@id\":\"https:\/\/lifelonghearing.com\/hu\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/lifelonghearing.com\/hu\/sokoldalu-hallas\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/lifelonghearing.com\/hu\/sokoldalu-hallas\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-hearing-diversity-1200x481-1.jpg\",\"datePublished\":\"2020-06-02T14:42:11+00:00\",\"dateModified\":\"2025-05-09T10:10:31+00:00\",\"author\":{\"@id\":\"https:\/\/lifelonghearing.com\/hu\/#\/schema\/person\/60253d78b8dceb3e7e8a7e96d0e0455e\"},\"breadcrumb\":{\"@id\":\"https:\/\/lifelonghearing.com\/hu\/sokoldalu-hallas\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/lifelonghearing.com\/hu\/sokoldalu-hallas\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/lifelonghearing.com\/hu\/sokoldalu-hallas\/#primaryimage\",\"url\":\"https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-hearing-diversity-1200x481-1.jpg\",\"contentUrl\":\"https:\/\/lifelonghearing.com\/hu\/wp-content\/uploads\/sites\/4\/2020\/06\/thumb-hearing-diversity-1200x481-1.jpg\",\"width\":1200,\"height\":481},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/lifelonghearing.com\/hu\/sokoldalu-hallas\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/lifelonghearing.com\/hu\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Sokoldal\u00fa hall\u00e1s\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/lifelonghearing.com\/hu\/#website\",\"url\":\"https:\/\/lifelonghearing.com\/hu\/\",\"name\":\"Hungary\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/lifelonghearing.com\/hu\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/lifelonghearing.com\/hu\/#\/schema\/person\/60253d78b8dceb3e7e8a7e96d0e0455e\",\"name\":\"Philipp_Hicker\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/lifelonghearing.com\/hu\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/64d4ea083f7e5b6b08e17fd0e94722d7?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/64d4ea083f7e5b6b08e17fd0e94722d7?s=96&d=mm&r=g\",\"caption\":\"Philipp_Hicker\"},\"url\":\"https:\/\/lifelonghearing.com\/hu\/author\/philipp_hicker\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Sokoldal\u00fa hall\u00e1s - Hungary","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/lifelonghearing.com\/hu\/sokoldalu-hallas\/","og_locale":"en_US","og_type":"article","og_title":"Sokoldal\u00fa hall\u00e1s - Hungary","og_description":"A cochle\u00e1ris implant\u00e1tummal(CI) \u00e9l\u0151 p\u00e1ciensek k\u00f6zel fele a m\u00e1sik f\u00fcl\u00e9n hall\u00f3k\u00e9sz\u00fcl\u00e9ket haszn\u00e1l. 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